If you are applying by the OPM Form 1203-FX, leave this section blank.

8. Other Information

9. Languages

If you are applying by the OPM Form 1203-FX, leave this section blank.

10. Lowest Grade

13

11. Miscellaneous Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

12. Special Knowledge

If you are applying by the OPM Form 1203-FX, leave this section blank.

13. Test Location

If you are applying by the OPM Form 1203-FX, leave this section blank.

14. Veteran Preference Claim

15. Dates of Active Duty - Military Service

16. Availability Date

17. Service Computation Date

If you are applying by the OPM Form 1203-FX, leave this section blank.

18. Other Date Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

19. Job Preference

If you are applying by the OPM Form 1203-FX, leave this section blank.

20. Occupational Specialties

001 Pharmacist

21. Geographic Availability

512170775 Salem, VA

22. Transition Assistance Plan

23. Job Related Experience

24. Personal Background Information

If you are applying by the OPM Form 1203-FX, leave this section blank.

25. Occupational/Assessment Questions:

The following sections include items related to the basic qualifications for this vacancy. Please respond to each question by selecting "Yes" or "No".

1. Do you possess a degree in Pharmacy from a college or university approved by the American Council on Pharmaceutical Education (ACPE) AND the equivalent of one (1) year of creditable experience at the GS-12 grade level?

A. YesB. No

2. Do you possess a full, current and unrestricted license to practice Pharmacy in a State, Territory, Commonwealth of the United States (i.e., Puerto Rico), or the District of Columbia?

A. YesB. No

3. Are you a current employee of the Salem VA Medical Center?

A. YesB. No

For each of the following item(s), choose the ONE statement from the list below that best describes your knowledge, skill and ability. All A, B, or C answers MUST be supported with examples, explanations, or additional information in the space provided, on your resume, or included on other application materials. Failure to provide adequate information to support your answers may result in your final rating being reduced. Please select only one letter for each item.

A- I am considered an expert, am consulted by others, or have provided training to others in this area.B- I have above average or superior knowledge, skill and/or ability in this area.C- I have average knowledge, skill and/or ability in this area.D- I have some knowledge, skill and/or ability in this area.E- I have little or no knowledge, skill and/or ability in this area.

4. Ability to communicate orally and in writing to persuade and influence clinical and management decisions.

5. Expert understanding of regulatory and quality standards for their program area.

6. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise.

7. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy.

8.

Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters.

9. Are you a U.S. Citizen?

A. YesB. No

10. Can you proficiently speak, read, write, and understand the English language?

A. YesB. No

11. Are you willing to undergo a comprehensive background investigation which includes, but is not limited to, contact with all references, employers, co-workers, personal associates, and review of your driving record, credit history and military service?

A. YesB. No

12. Applicants must undergo a pre-employment medical examination and be medically suitable to perform essential duties efficiently and without hazard to themselves and others. Are you willing to undergo a pre-employment medical examination?

A. YesB. No

13. Prior to appointment or following appointment to a position, you may be selected for random drug testing for illegal drug use. Are you willing to undergo random urinalysis drug testing?

A. YesB. No

14. I certify that, to the best of my knowledge and belief, all of the information included in this questionnaire is true, correct and provided in good faith. I understand that if I make an intentional false statement, commit deception, or fraud in this application and its surrounding materials, or any document, or interview associated with the examination process, my eligibilities may be cancelled; I may be denied an appointment or I may be removed and debarred from Federal service (5 C.F.R. part 731). I understand that any information I give may be investigated and that responding "No", or providing no response to this item, will result in my not being considered for this position.